Page (PDF) | 61 |
---|---|
Certificate Number | 5610 |
Name of Deceased | Kellem, Mary Linda |
Place of Death | Wicomico |
Town of Death | Salisbury; PG Hosp |
Sex | F |
Race | colored |
Married, Widowed, or Single | married |
Date of Birth | 1/31/1897 |
Age (year, month, days) | 19 yrs 2 mos 7 ds |
Occupation or Employer | domestic |
Birthplace | Virginia |
Father's Name | Oswald Mason |
Father's Birthplace | Virginia |
Mother's Name | Frances Moore |
Mother's Birthplace | Virginia |
Informant (Relationship and Address) | Harry T Watson; Harboton, Va |
Date of Death | 4/8/1916 |
Cause of Death and Time Attended by Doctor | general peritonitis; 3 ds |
Immediate, Secondary, or Contributory Cause and How Long | ruptured appendix |
Physician and Address | JMF Dick; Salisbury |
Burial Place, Date, Undertaker, and Address | Keller, VA; x; Hill 7 Johnson Co; Saiisbury Md |
Length of Residence, Where Disease Contracted, Former Residence | 16 hrs; Painter, Va |
Other Notes | – |
If you are citing this record, please use the following format:
[Author (if known)]
, Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)]
, Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.
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